ATI RN FUNDAMENTALS RETAKE
EXAM 2026 – GRADED A+
PRACTICE SET : QUESTIONS AND
RATIONALES/GRADED A+
UPDATE 100% CORRECT
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT
(Questions 1-15)
1. A nurse is preparing to transfer a client who is immobile from the bed to a
stretcher. Which action by the nurse demonstrates proper body mechanics?
• A) Twisting at the waist while pulling the client
• B) Keeping feet together and lifting with back muscles
• C) Positioning the bed at waist level and using a transfer board ✅
• D) Reaching forward with arms extended to grasp the client
Rationale: Positioning the bed at waist level reduces strain on the nurse's back.
Using a transfer board facilitates smooth movement and reduces friction. Twisting,
lifting with back muscles, and reaching forward all increase risk of musculoskeletal
injury.
2. A nurse observes smoke coming from an electrical outlet in a client's room.
What is the priority action?
• A) Remove the client from the room ✅
• B) Attempt to extinguish the fire with a fire extinguisher
, • C) Pull the fire alarm
• D) Close all doors and windows
Rationale: RACE protocol: Rescue, Alarm, Contain, Extinguish. The priority is
removing clients from immediate danger (Rescue). Client safety supersedes all other
fire response actions.
3. A nurse is applying restraints to a confused client who is pulling at their IV
line. Which action is appropriate?
• A) Apply restraints tightly to prevent movement
• B) Secure restraints to the side rail of the bed
• C) Obtain a prescription from the provider within 15-30 minutes ✅
• D) Remove restraints every 4 hours for range of motion
Rationale: Restraints require a provider's order within 15-30 minutes of application
per CMS guidelines. Restraints should be loose enough for 1-2 fingers to fit under,
secured to the bed frame (not side rails), and removed every 2 hours for ROM
exercises.
4. A nurse is preparing to administer a blood transfusion. Which action is most
important before obtaining blood from the blood bank?
• A) Obtain signed informed consent for transfusion
• B) Check the client's vital signs
• C) Initiate a 20-gauge IV catheter ✅
• D) Prime the blood administration tubing with dextrose 5% in water
Rationale: A 20-gauge or larger IV catheter is required for blood transfusion to
prevent hemolysis. Consent should already be obtained. Vital signs are checked
before transfusion but not most important prior to retrieval. Blood tubing must be
primed with normal saline ONLY (not dextrose), as dextrose causes hemolysis.
5. A nurse is caring for a client who has a new prescription for wrist restraints.
Which of the following is an appropriate nursing action?
, • A) Tie the restraints to the movable part of the bed frame
• B) Remove the restraints every 4 hours to assess skin integrity
• C) Ensure the client can call for help while restrained ✅
• D) Apply the restraints tightly enough to prevent any movement
Rationale: The client must be able to summon assistance (call light within reach).
Restraints should be tied to a non-movable part of bed frame, removed every 2
hours for assessment, and applied loose enough for 1-2 finger width.
6. A nurse discovers a small fire in a client's trash can. After moving the client
to safety, which action should the nurse take next?
• A) Open windows to clear smoke
• B) Use a blanket to smother the flames
• C) Activate the fire alarm ✅
• D) Find the fire extinguisher
Rationale: After rescuing clients, the next step is to pull the alarm (Activate).
Containment and extinguishing come after.
7. A nurse is completing an incident report after a client falls. Which statement
should be included in the report?
• A) "The nurse was distracted and didn't respond to the call light"
• B) "The client was trying to ambulate too quickly"
• C) "The client was found lying on the floor beside the bed" ✅
• D) "The fall occurred due to inadequate staffing"
Rationale: Incident reports should contain objective, factual information without
blame, assumptions, or opinions. Only observable facts should be documented.
8. A nurse is preparing to insert a nasogastric tube. Which personal protective
equipment (PPE) is essential?
• A) Surgical mask and eye goggles
• B) Sterile gloves and gown
EXAM 2026 – GRADED A+
PRACTICE SET : QUESTIONS AND
RATIONALES/GRADED A+
UPDATE 100% CORRECT
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT
(Questions 1-15)
1. A nurse is preparing to transfer a client who is immobile from the bed to a
stretcher. Which action by the nurse demonstrates proper body mechanics?
• A) Twisting at the waist while pulling the client
• B) Keeping feet together and lifting with back muscles
• C) Positioning the bed at waist level and using a transfer board ✅
• D) Reaching forward with arms extended to grasp the client
Rationale: Positioning the bed at waist level reduces strain on the nurse's back.
Using a transfer board facilitates smooth movement and reduces friction. Twisting,
lifting with back muscles, and reaching forward all increase risk of musculoskeletal
injury.
2. A nurse observes smoke coming from an electrical outlet in a client's room.
What is the priority action?
• A) Remove the client from the room ✅
• B) Attempt to extinguish the fire with a fire extinguisher
, • C) Pull the fire alarm
• D) Close all doors and windows
Rationale: RACE protocol: Rescue, Alarm, Contain, Extinguish. The priority is
removing clients from immediate danger (Rescue). Client safety supersedes all other
fire response actions.
3. A nurse is applying restraints to a confused client who is pulling at their IV
line. Which action is appropriate?
• A) Apply restraints tightly to prevent movement
• B) Secure restraints to the side rail of the bed
• C) Obtain a prescription from the provider within 15-30 minutes ✅
• D) Remove restraints every 4 hours for range of motion
Rationale: Restraints require a provider's order within 15-30 minutes of application
per CMS guidelines. Restraints should be loose enough for 1-2 fingers to fit under,
secured to the bed frame (not side rails), and removed every 2 hours for ROM
exercises.
4. A nurse is preparing to administer a blood transfusion. Which action is most
important before obtaining blood from the blood bank?
• A) Obtain signed informed consent for transfusion
• B) Check the client's vital signs
• C) Initiate a 20-gauge IV catheter ✅
• D) Prime the blood administration tubing with dextrose 5% in water
Rationale: A 20-gauge or larger IV catheter is required for blood transfusion to
prevent hemolysis. Consent should already be obtained. Vital signs are checked
before transfusion but not most important prior to retrieval. Blood tubing must be
primed with normal saline ONLY (not dextrose), as dextrose causes hemolysis.
5. A nurse is caring for a client who has a new prescription for wrist restraints.
Which of the following is an appropriate nursing action?
, • A) Tie the restraints to the movable part of the bed frame
• B) Remove the restraints every 4 hours to assess skin integrity
• C) Ensure the client can call for help while restrained ✅
• D) Apply the restraints tightly enough to prevent any movement
Rationale: The client must be able to summon assistance (call light within reach).
Restraints should be tied to a non-movable part of bed frame, removed every 2
hours for assessment, and applied loose enough for 1-2 finger width.
6. A nurse discovers a small fire in a client's trash can. After moving the client
to safety, which action should the nurse take next?
• A) Open windows to clear smoke
• B) Use a blanket to smother the flames
• C) Activate the fire alarm ✅
• D) Find the fire extinguisher
Rationale: After rescuing clients, the next step is to pull the alarm (Activate).
Containment and extinguishing come after.
7. A nurse is completing an incident report after a client falls. Which statement
should be included in the report?
• A) "The nurse was distracted and didn't respond to the call light"
• B) "The client was trying to ambulate too quickly"
• C) "The client was found lying on the floor beside the bed" ✅
• D) "The fall occurred due to inadequate staffing"
Rationale: Incident reports should contain objective, factual information without
blame, assumptions, or opinions. Only observable facts should be documented.
8. A nurse is preparing to insert a nasogastric tube. Which personal protective
equipment (PPE) is essential?
• A) Surgical mask and eye goggles
• B) Sterile gloves and gown
